Healthcare Provider Details

I. General information

NPI: 1497036487
Provider Name (Legal Business Name): LIFE STRATEGIES INTERNATIONAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2011
Last Update Date: 09/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2448 E 81ST ST SUITE 4824
TULSA OK
74137-4250
US

IV. Provider business mailing address

2448 E 81ST ST SUITE 4824
TULSA OK
74137-4250
US

V. Phone/Fax

Practice location:
  • Phone: 918-392-7875
  • Fax: 800-260-7966
Mailing address:
  • Phone: 918-392-7875
  • Fax: 800-260-7966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LATRICIA D TAYLOR
Title or Position: EXECUTIVE DIRECTOR
Credential: M.A, LPC
Phone: 918-392-7875